Organization
CORNERSTONE I INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACIE ANN HERNANDEZ (CEO)
(269) 317-4433
Entity
Organization
Contact information
Practice address
59859 M 43, BANGOR, MI 49013-9617
(269) 628-2100
(269) 628-2121
Mailing address
PO BOX 277, BLOOMINGDALE, MI 49026-0277
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AM800267076
MI
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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